Equipment discrepancy (Calibration lapsed) in Central Dispensary
Occurred: 2025-03-08T03:46 UTC · Reported: 2025-03-11T10:46 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 03:46 UTC in Central Dispensary, a minor safety event occurred involving calibration lapsed. The incident was assigned preliminary risk score 16 in the Low band.
Staff in Central Dispensary identified that clinical equipment experienced calibration lapsed at 03:46. Clinical team verified patient safety and swapped device.
Risk Evaluation & Score Breakdown
Deterministic multi-term risk score from 1 to 100 derived from clinical harm, recurrence, and reporting lag.
Top Similar Incidents in Pharmacy
Semantic similarity calculated across category, location, and clinical narrative keywords.
Equipment discrepancy (Calibration lapsed) in Central Dispensary
Equipment discrepancy (Calibration lapsed) in Central Dispensary
Equipment discrepancy (Calibration lapsed) in Central Dispensary
Root Cause Analysis & Safeguards Workspace
Explore 5 Whys causal pathways, 6-bone fishbone decomposition, and barrier analysis safeguards.
Corrective & Preventive Actions (1)
Implement systemic safeguard against medical equipment & devices: standardized protocol enforcement and hardware interlock.
Parties Involved (2)
Masked by default per governance protocolHandover & Action Notes (2)
EHR order entry template updated to require explicit sliding-scale justification.
EHR order entry template updated to require explicit sliding-scale justification.